3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Owned and operated by Jean Altenor, Ml-Op Goddard is a 60-bed nursing home on Easy Street in Goddard, Kansas. The home focuses on short-term rehabilitation and respite care, making it a suitable option for residents recovering from surgery or hospitalization and for families needing temporary care support. Medicare and private pay are accepted, giving families two ways to cover care.
The community has an occupancy rate of 25%, with 15 of its 60 beds filled. Residents stay an average of 84 days, including those receiving post-acute rehabilitation and those using respite services. Daily nurse staffing averages 4 hours and 46 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses work together to provide care throughout the day.
The facility’s location has a Walkability Score of 53 out of 100. Some errands can be completed on foot, although most trips require a short drive. Families will find dining with a variety of menu choices and accommodations for special dietary needs. Social gathering spaces, family areas, a barbershop and salon, spiritual services, and transportation support are also available.
The facility’s inspection history shows steady improvement. A recent inspection confirmed full compliance with all regulations. Residents can also take part in weekly religious services and Bible studies provided by church members, supporting those with active faith practices.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 35m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 17m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 13m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day |
Lower than the Kansas average: 79.5%Ml-Op Goddard, LLC is administered by Jean M. Altenor.
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KS Average | vs. KS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 158 | 100 | This facility has 58% more total deficiencies than a typical Kansas assisted living residence (158 vs. KS avg 100).↑ 58% worse |
|
Deficiencies per year
Average deficiencies per year since 2013.
| 12.2 | 7.7 | This facility has 58% more deficiencies per year than a typical Kansas assisted living residence (12.2 vs. KS avg 7.7).↑ 58% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Jan 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 26 citations resulted from standard inspections; 3 of 26 resulted from complaint investigations; and 14 of 26 came from combined inspections (standard and complaint).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
18 total: 8 full-time employees and 10 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
18 total: 9 full-time employees and 9 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
83 total: 31 full-time employees and 52 contractors.
83
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,274 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 52 | 83 | 8,910 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 9 | 9 | 18 | 3,018 | 92 | 100% | 9.5 |
| Registered Nurse | 8 | 10 | 18 | 1,654 | 84 | 91% | 9.4 |
| Medication Aide/Technician | 7 | 3 | 10 | 1,264 | 91 | 99% | 7.4 |
| RN Director of Nursing | 2 | 0 | 2 | 769 | 66 | 72% | 7.1 |
| Administrator | 1 | 0 | 1 | 543 | 59 | 64% | 9.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 516 | 54 | 59% | 9.5 |
| Dental Services Staff | 1 | 0 | 1 | 437 | 54 | 59% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 423 | 56 | 61% | 7.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 305 | 67 | 73% | 4.5 |
| Dietitian | 1 | 0 | 1 | 270 | 56 | 61% | 4.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 178 | 66 | 72% | 2.7 |
| Qualified Social Worker | 0 | 3 | 3 | 63 | 35 | 38% | 1.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 36 | 30 | 33% | 1.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 35 | 20 | 22% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 30 | 6 | 7% | 5.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 19 | 9 | 10% | 2.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 4 | 1 | 1% | 4.3 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
77% lower than State averageState average: $44K
59% fewer fines than State averageState average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.3
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
10% better than State averageState average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.3
11% better than State averageState average: 20.7
Percent of long-stay residents whose need for help with daily activities has increased
11.0%
42% better than State averageState average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
17.9%
8% better than State averageState average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
10% worse than State averageState average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
7% worse than State averageState average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
5.7%
24% worse than State averageState average: 4.6%
Percent of long-stay residents with a urinary tract infection
2.9%
6% better than State averageState average: 3.1%
Percent of long-stay residents who lose too much weight
7.8%
52% worse than State averageState average: 5.1%
Percent of long-stay residents who have depressive symptoms
4.6%
10% better than State averageState average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
8.4%
50% better than State averageState average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than State averageState average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than State averageState average: 95.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.1%
15% better than State averageState average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
In line with State averageState average: 73.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
16% of new residents, usually for short-term rehab.
84% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Ml-Op Goddard, LLC from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 10/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (84% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Goddard's city center to Ml-Op Goddard, LLC's address, calculated via Google Maps.
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The information below is reported by the Kansas Department for Aging and Disability Services.
| Ml-Op Goddard, LLC | NH ADC AL HC NC RC | Goddard | - | 60 | - | 53 | - |
| Homestead of Osawatomie | NH AL | Osawatomie | - | 40 | - | 13 | Suite |
| Brookdale Rosehill | NH AL | Shawnee | - | 92 | A+ | 54 | Studio / 1 Bed |
| Meadowlark Hills Retirement Community | NH HC IL NC | Manhattan (Meadowlark Road) | - | 134 | - | 28 | 1 Bed / 2 Bed / 3 Bed |
| Ascension Living Via Christi Village McLean | NH AL IL MC | Wichita (Indian Hills) | - | 95 | - | 47 | Studio / 1 Bed |
Ml-Op Goddard, LLC is legally operated by Ml-Re Goddard, Llc, and administered by Jean M. Altenor.
Ml-Op Goddard, LLC has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to KS state health department records, Ml-Op Goddard, LLC's license number is 175294.
Ml-Op Goddard, LLC's occupancy is 25%.
Ml-Op Goddard, LLC is registered as a for-profit in KS.
Jean M. Altenor is the administrator of Ml-Op Goddard, LLC.
Ml-Op Goddard, LLC has 60 beds.
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